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A developmental perspective on functional somatic symptoms.

Joy E Beck1

  • 1Vanderbilt Children's Hospital, Division of Adolescent Medicine and Behavioral Science, Nashville, TN 37232-9060, USA. joy.beck@vanderbilt.edu

Journal of Pediatric Psychology
|December 7, 2007
PubMed
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This study introduces a new developmental model for understanding functional somatic symptoms (FSS) in youth. It highlights various factors influencing FSS and suggests viewing them on a continuum for better research and treatment.

Area of Science:

  • Child and Adolescent Psychology
  • Developmental Psychopathology
  • Pediatric Health

Background:

  • Functional somatic symptoms (FSS) in children and adolescents require novel conceptual frameworks.
  • Existing perspectives on FSS lack a comprehensive developmental approach.

Purpose of the Study:

  • To propose a new developmental model for conceptualizing and studying functional somatic symptoms (FSS) in pediatric populations.
  • To integrate existing literature and theoretical viewpoints on FSS in youth.

Main Methods:

  • A developmental model was synthesized from a comprehensive review of extant literature.
  • Previous theoretical perspectives on FSS in children and adolescents were integrated.

Main Results:

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  • Identified multiple risk and protective factors across child, familial, social, and environmental domains.
  • Highlighted interactions among risk factors and potential developmental pathways for FSS.
  • Emphasized viewing FSS on a continuum of severity rather than as discrete diagnoses.

Conclusions:

  • A broader, developmental perspective is essential for studying FSS in youth.
  • Developmental psychopathology principles support viewing FSS as a continuum.
  • This model provides directions for future research and clinical treatment of FSS.